Individual
DR. ATAM J MEHDIRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 MERIDIAN ST STE 340, ANDERSON, IN 46016-4349
(765) 646-8477
(765) 649-4290
Mailing address
100 HOSPITAL LN, STE 100, DANVILLE, IN 46122-1993
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01059560A
IN
207RG0100X
Gastroenterology Physician
M6762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491100
—
IN
01
—
P01678977
MEDICARE RR
IN
Enumeration date
06/12/2006
Last updated
07/25/2022
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